Organization · NPI-2
Active Care Services INC
Home Health Aide · Brick, NJ
NPI number1982115101
StatusActive
Last updated in NPPESJan 13, 2020
Details
- NPI
- 1982115101
- Entity type
- Organization (NPI-2)
- Legal business name
- Active Care Services INC
- Organization subpart
- No
- Enumeration date
- Oct 15, 2017
- Certification date
- Jan 13, 2020
- Last updated
- Jan 13, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | hp0267300 | NJ | Yes |
Practice location
300 Bellanca RdBrick, NJ 08723-6877
Phone 732-862-7962
Mailing address
300 Bellanca RdBrick, NJ 08723-6877
Phone 732-862-7962
Authorized official
Ronald Mulindwa
President
7183547863
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